Novel double-flanged technique for managing Marfan syndrome and microspherophakia.

Autor: Canabrava S; From the Cataract Department, Santa Casa of Belo Horizonte (Canabrava, Canedo Domingos Lima, Arancibia, Bicalho Dornelas), Belo Horizonte, Minas Gerais and Cataract Department, Hospital de Olhos Santa Luzia (Ribeiro), Maceió, Alagoas, Brazil., Canedo Domingos Lima AC, Arancibia AEL, Bicalho Dornelas LF, Ribeiro G
Jazyk: angličtina
Zdroj: Journal of cataract and refractive surgery [J Cataract Refract Surg] 2020 Mar; Vol. 46 (3), pp. 333-339.
DOI: 10.1097/j.jcrs.0000000000000116
Abstrakt: A new technique for fixating the capsular bag in patients with ectopia lentis is presented. In this technique, the capsulorhexis is performed using a femtosecond laser, followed by the insertion of a standard capsular tension ring to redistribute capsular forces. The nucleus is hydroprolapsed into the anterior chamber and nuclear disassembly is performed above the iris plane to reduce zonular stress. Finally, a 5-0 polypropylene monofilament is used to fixate a capsular tension segment and subluxated capsular bag. This novel double-flanged method, achieved with cautery, does not require direct suturing of the monofilament on the sclera. This article describes the use of this new technique in 3 eyes, 2 in patients with Marfan syndrome and 1 in a patient with microspherophakia.
Databáze: MEDLINE